Individual provider Active NPI

Tamara Zorianna Vern-Gross, DO

  • Radiation Oncology Physician
  • Monroe, WI
National Provider Identifier
1679732036
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
81684 Issued in WI
Practice address
2009 5TH St
Monroe, WI 53566-1546
Phone
(608) 324-2000
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2009-00655 NC
Pediatrics Physician 208000000X 2703 TN
Pediatrics Physician 208000000X 006864 AZ
Radiation Oncology Physician 2085R0001X DO-06803 IA
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 2703 TN
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 006864 AZ
Radiation Oncology Physician 2085R0001X 2703 TN
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 2009-00655 NC
Radiation Oncology Physician 2085R0001X 006864 AZ
Radiation Oncology Physician 2085R0001X 2009-00655 NC
Radiation Oncology Physician 2085R0001X 81684 WI Primary

Addresses

Primary practice location

2009 5TH St
Monroe, WI 53566-1546

Mailing address

13400 E Shea Blvd
Mayo Clinic Arizona
Scottsdale, AZ 85259-5452

Other practice location 1

13400 E Shea Blvd
Mayo Clinic Arizona
Scottsdale, AZ 85259-5452
Phone (480) 301-8000

Other identifiers 1

IdentifierTypeStateIssuer
1679732035MedicaidWI

Other names 1

  • Tamara Zorianna Vern Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tverngross526380@direct-ehr-ssmhc.com Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IA, WI, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140908001761 TN Practitioner - Radiation Oncology 7719106624
I20241206001692 IA Practitioner - Radiation Oncology 7719106624 Reassigns benefits to 2 organizations
I20241230000727 WI Practitioner - Radiation Oncology 7719106624 Reassigns benefits to 2 organizations
I20250206002542 OH Practitioner - Radiation Oncology 7719106624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
College of Podiatric Med and Surgery, Des Moines University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2703TNMDOptometrist
006864AZMDPediatrics Physician
2009-00655NCMDPediatrics Physician
DO-06803IAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agnesian Healthcare Inc CurrentSince Mar 3, 2025 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
The Monroe Clinic, Inc. CurrentSince Dec 23, 2024 Accepting new patients
St Anthony Regional Hospital and Nursing Home Radiation Oncology CurrentSince Dec 2, 2024 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Family Medicine CurrentSince Dec 2, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 3, 2025 Accepting new patients
Genesis Medical Group, LLC CurrentSince Dec 16, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 18, 2024 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Dec 23, 2024 Accepting new patients
Genesis Medical Group LLC Family Medicine CurrentSince Dec 16, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Dec 18, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

480 E Division St
Fond du Lac, WI 54935
Phone (800) 236-1428

2009 5th St
Monroe, WI 53566
Phone (608) 324-1454

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: tverngross526380@direct-ehr-ssmhc.com
  • Direct secure messaging: tverngross395829@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: tverngross2703846@direct.bsmhealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1679732036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "address_2": "MAYO CLINIC ARIZONA",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 5TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661546",
            "telephone_number": "608-324-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_2": "Mayo Clinic Arizona",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595452",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERN-GROSS",
        "first_name": "TAMARA",
        "middle_name": "ZORIANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2009-00655",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "2703",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "006864",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "DO-06803",
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "2703",
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "006864",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "2703",
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2009-00655",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "006864",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2009-00655",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "81684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679732035",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tverngross526380@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tverngross526380@direct-ehr-ssmhc.com",
            "address_1": "2009 5th St",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2009 5th St",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "VERN",
            "middle_name": "ZORIANNA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, WI

Sources for this page

Verify at the official NPI Registry.